Respiratory Virus PCR Panel I

Last Modified: 12/28/2022 9:27:05 AM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1 mL bronchial lavage/wash collected in a sterile leak-proof container
Collection Instructions:  
Minimum Volume: 0.6 mL wash
Transport & Storage: Temperature/Stability:
  • Swabs
    Room temperature: 48 hours
    Refrigerated: 7 days
    Frozen: 30 days

    Bronchial lavage
    Room temperature: Unacceptable
    Refrigerated: 7 days
    Frozen: 30 days

    Sputum
    Room temperature: 48 hours
    Refrigerated: 7 days
    Frozen: 30 days
Rejection Criteria: Calcium alginate swabs
Reference Range:

Not detected

Critical Ranges:  
Test Comments:  
Methodology: RTPCR and Real-Time Reverse Transcriptase Polymerase Chain
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 2 to 4 days
Days Performed: Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Quest - Chantilly to San Juan Capistrano
PHL Test Code: MSOT
EPIC Test Code: MISC
Send Out Test Code: 91246
Alternate Test Names: Respiratory Virus (RSV) PCR Panel I
Included Tests:

Adenovirus DNA, Qualitative, Real-Time PCR; Influenza A and B RNA, Qualitative Real-Time PCR;Parainfluenza Virus (Types 1, 2, 3 and 4) RNA, Qualitative, Real-Time PCR;Respiratory Syncytial Virus (RSV) RNA, Qualitative Real-Time PCR

CPT Coding: 87632

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